chapter 31

A first-time father calls the pediatric nurse stating he is concerned that his 4-year-old daughter still wets the bed almost every night. Remembering his own experience of being punished for wetting the bed at 4 years old, he is not sure punishment is the best approach to address this. Which nursing instruction is the most appropriate? "Disciplining is not likely to be effective, but if the child keeps wetting the bed it may be necessary." "Setting rules is a parent's job to help the child have acceptable social behavior, so take away a privilege each time she wets the bed." "Nightly bedwetting up to age 12 is developmentally typical, so you will need to practice patience with your daughter." "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration."

"Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration."

The father of a 4½-year-old boy has contacted the nurse because he is concerned that his son is frequently touching his genitals. The nurse explains that this is normal during the preschool years. Which statement by the father would indicate a need for further teaching? "I will need to find an appropriate punishment for him if this continues." "I should teach him certain rules about this activity." "I have heard that both boys and girls often touch themselves at this age." "This is probably a good time to talk about safety and who can touch him."

"I will need to find an appropriate punishment for him if this continues."

What statement by the mother of a preschooler indicates the need for further education by the nurse? "My child should not share a toothbrush with another person." "If food falls on the floor, my child should pick it up quickly and wipe it off before eating it." "My child should not drink from someone else's cup." "After blowing his nose, my child should wash his hands."

"If food falls on the floor, my child should pick it up quickly and wipe it off before eating it."

During a well-child visit, the mother of a preschooler tells the nurse that her daughter is "daddy's girl." She says, "It seems like I don't exist." Which response by the nurse would be most appropriate? "This might be a problem because your daughter is obviously alienating you." "Did you do something to make your daughter angry with you?" "Why do you think she is doing this?" "Your daughter is showing normal behavior for her age."

"Your daughter is showing normal behavior for her age."

A mother reports to the nurse that her 4-year-old does everything that she does. She says she is becoming somewhat frustrated with these actions. What would be the best response by the nurse to this mother? "I am sure there are ways to get your daughter to stop imitating you." "I can imagine that it would be very irritating." "Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development." "This is not normal behavior. I am going to get the doctor's advice."

"Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development."

A 3½-year-old shouts, "Look out for Boo-ga-loo!" as the nurse enters the exam room. The father explains Boo-ga-loo is his daughter's imaginary friend. How should the nurse respond? "Tell me about Boo-ga-loo." "I don't see anyone." "Where did you get that funny name?" "Are you kidding me?"

"Tell me about Boo-ga-loo."

A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family? Disturbed thought processes related to deep-set psychological need Social isolation related to unwillingness to relate except through imaginary friend Compromised family coping related to abnormal behavior of child Parental anxiety related to lack of understanding of childhood development

Parental anxiety related to lack of understanding of childhood development

Nursing students are reviewing information about the cognitive development of preschoolers. The students demonstrate understanding of the information when they identify that a 3-year-old is in what stage as identified by Piaget? Tertiary circular reaction Preoperational thought Coordination of secondary schema Primary circular reaction

Preoperational thought

The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in? Playing a board game Pretending to be mommies and daddies in the playhouse Watching a movie with other children their age Painting pictures in the art corner of the room

Pretending to be mommies and daddies in the playhouse

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative? Change the routine of the preschooler often to stimulate initiative. As a parent, decide how and with whom the child will play. Do not set limits on the preschooler's behavior as this results in low self-esteem. Reward the child for initiative in order to build self-esteem.

Reward the child for initiative in order to build self-esteem.